Scheda di esercizi di Infermieristica clinica con soluzioni

What does the INR measure?

1. AThe number of platelets circulating in the blood
2. BHow long the blood takes to clot, compared with a standard
3. CThe amount of iron stored in the body's liver and bone marrow
4. DThe level of white cells in the blood

Why should insulin injection sites be rotated?

1. ATo stop the insulin from freezing under the skin
2. BTo make the insulin work more slowly and evenly every time
3. CBecause insulin causes the skin to bleed if one site is used often
4. DTo prevent lumpy fatty areas that make absorption unpredictable

What is a PEG tube?

1. AA feeding tube placed through the abdominal wall into the stomach
2. BA tube placed in the chest to drain air
3. CA tube passed through the nose and down into the stomach
4. DA tube placed through the skin into the bladder to drain urine

Which advice should be given to a patient with a new permanent pacemaker?

1. ATell staff about the pacemaker before any MRI scan or procedure
2. BStop all heart medicines straight away
3. CAvoid using all household electrical appliances such as kettles
4. DNever raise the arm on that side again

What should a patient starting oral iron tablets be told?

1. ATheir stools may turn dark or black
2. BThe tablets will cause weight loss
3. CThey must take the tablets with strong tea
4. DTheir urine will turn bright green

A patient has a continuous stream of bubbles in the water seal chamber of their chest drain. What does this most likely indicate?

1. AThe drain is blocked
2. BAn air leak, from the lung or from the drainage system
3. CThe drain is working normally for a fluid collection only
4. DThe lung has fully re-expanded

An older patient with delirium is trying to leave the ward at night, saying he must go home. What is the best initial approach?

1. ALet him leave, because adults can always do as they wish whatever their state
2. BPhysically restrain him in bed until the morning so that he cannot fall
3. CCalmly reassure and redirect him while the team assesses his capacity and safety
4. DGive a sedative straight away without a prescription

A patient with type 1 diabetes is nil by mouth before surgery. Why must their insulin not simply be stopped?

1. AInsulin is needed for the anaesthetic to work
2. BStopping insulin causes immediate hypoglycaemia during the operation
3. CWithout any insulin they can develop diabetic ketoacidosis
4. DInsulin prevents wound infection on its own